Provider First Line Business Practice Location Address:
451 CLARKSON AVE
Provider Second Line Business Practice Location Address:
KINGS COUNTY HOSPITALCENTER
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-245-2026
Provider Business Practice Location Address Fax Number:
718-756-2594
Provider Enumeration Date:
07/24/2014